MS. JENNIFER LYNN DORMAN (NPI# 1023388063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023388063 |
Entity Type | Individual |
Full Name | MS. JENNIFER LYNN DORMAN |
Credential | R.D. |
Practice Address |
167 Belmar Boulevard Avon Lake OH 44012 |
Mailing Address |
167 Belmar Blvd Avon Lake OH 44012-1337 |
Practice Telephone | 4409330242 |
Mailing Telephone | 4409330242 |
Enumeration Date | 2012-01-09 |
Last Update Date | 2012-01-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
5661 | OH | Dietary & Nutritional Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679971659 | Jennifer Dorman | Specialist/Technologist | 7600 Macon Rd, Cordova, TN 38018-4900 | 2014-12-08 |
1467860130 | Jennifer Lee Dorman | Counselor | 314 W 4th St, Oxnard, CA 93030-5910 | 2014-07-25 |
1336394329 | Jennifer L Dorman | Occupational Therapist | 10 Elm St, Greenvale, NY 11548-1105 | 2008-11-18 |
Street Address |
167 BELMAR BOULEVARD |
City | AVON LAKE |
State | OH |
Zip Code | 44012 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649743352 | Wyatt Demarco Massage Therapy & Wellness Center | Massage Therapist | 690 Avon Belden Rd, 2c, Avon Lake, OH 44012 | 2019-01-04 |
1659789915 | Self | Home Health | 33803 Electric Blvd, E4, Avonlake, OH 44012 | 2014-07-30 |
1427489566 | Thomas Gerosky, D.m.d. Inc | Dentist | 215 Miller Road, Avon Lake, OH 44012 | 2013-11-27 |
1558619676 | Lindsay Stein | Counselor | 156a Lear Rd, Avon Lake, OH 44012 | 2012-08-21 |
1033495338 | Jessica Rae Wyatt | Massage Therapist | 690 Avon Belden Rd Ste 2c, Avon Lake, OH 44012 | 2011-10-31 |
1841599248 | Robin M Hale | Counselor | 32831 Redwood Blvd, Avon Lake, OH 44012 | 2011-03-24 |
1265551766 | Robert Day Monroe | Podiatrist | 32118 Augusta Dr, Avon Lake, OH 44012 | 2007-03-28 |
1194822908 | John Secrest Pyke IIi | Dentist | 33399 Walker Rd, Suite D, Avon Lake, OH 44012 | 2006-09-20 |
1295842284 | Westshore Primary Care Assoc Inc | Internal Medicine | 32730 Walker Road, Building H, Avon Lake, OH 44012 | 2006-08-24 |
1316974751 | Sandra M Drotos | Occupational Therapist | 533 Bayhill Drive, Suite 108, Avon Lake, OH 44012 | 2006-06-28 |
Find all providers in zip 44012 |
Taxonomy Code | 133VN1004X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
Specialization | Nutrition, Pediatric |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346895273 | Mary Patricia Turon-findley | Dietitian, Registered | 3333 Burnet Ave # Mlc6025, Cincinnati, OH 45229-3026 | 2019-08-07 |
1548756497 | Abby Giangiordano | Dietitian, Registered | 3333 Burnet Ave # Mlc5043, Cincinnati, OH 45229-3026 | 2018-07-03 |
1346616307 | Susan Hurley | Dietitian, Registered | 41 Longitude Dr, Mount Vernon, OH 43050-8700 | 2015-08-13 |
1093101198 | Hilary Pelligra | Dietitian, Registered | 361 Timber Rdg, Cuyahoga Falls, OH 44223-1278 | 2015-04-15 |
1053744151 | Mary Eileen Sheehan | Dietitian, Registered | 1920 Merganser Run Dr, Columbus, OH 43215-7018 | 2013-08-13 |
1093088130 | Janet J Daprato | Dietitian, Registered | 5768 Kempton Run Ct., Columbus, OH 43235-3509 | 2012-02-21 |
1528343357 | Melanie Rose Desapri | Dietitian, Registered | 24610 Maple Ridge Rd, Westlake, OH 44145-4931 | 2011-10-12 |
1386878296 | Anne Louise Rice | Dietitian, Registered | 17610 Waldo Rd, Marysville, OH 43040-9493 | 2009-05-06 |
1417198714 | Beth E Stefura | Dietitian, Registered | 236 Old Oak Dr, Cortland, OH 44410-1122 | 2009-03-16 |
1376781617 | Colleen Mathews | Dietitian, Registered | 1430 Maple Ave, Wyoming, OH 45215-2116 | 2009-01-24 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.